| NPI | 1982842365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6082) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2013-02-15 |